Kari Leanne Hart, DNP, FNP
Individual provider Active NPI Nurse Practitioner · Bethalto, IL
NPI 1760131957 · NPPES record last updated Jun 23, 2022
Key facts
- NPI
- 1760131957
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209025060 (IL)
- Practice address
- 163 E Bethalto Dr
Bethalto, IL 62010-1801 - Phone
- (618) 433-6640
- Fax
- (618) 433-6645
- NPI assigned
- Mar 23, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairview Heights Medical Group SC
Practice addresses (Care Compare)
163 E Bethalto Dr
Bethalto, IL 62010-1801
Phone (618) 433-6490
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220707002406 | IL | Practitioner - Nurse Practitioner | 8022498054 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209025060 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Heights Medical Group SC | Current |
Accepting new patients | |
| Fairview Heights Medical Group SC | Current |
Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
163 E Bethalto Dr
Bethalto, IL 62010
Phone (618) 433-6490
2122 Troy Rd
Ste 130
Edwardsville, IL 62025
Phone (618) 692-9876
660 Mason Ridge Center Dr
Saint Louis, MO 63141
Phone (314) 273-6433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209025060 | IL | Yes |
Addresses
Primary practice location
163 E Bethalto Dr
Bethalto, IL 62010-1801
Mailing address
163 E Bethalto Dr
Bethalto, IL 62010-1801
Phone (618) 433-6640
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Other providers in Bethalto, IL
- Amy Lynn Griffith
- Shelby Nicole Griggs
- William P Hale
- Hall Chiropractic LLC
- Craig Kenneth Harms
- Highland Park CVS, L.L.C.
- Hoover Chiropractic Clinic
- Paul Robert Hoover
- Aine Marie Howard-Boerner
- Melinda Lee Jones
All providers in Bethalto, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.